liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
The Use of Principles in Allocating Scarce Health Care Resources for Genetic Test
Helmholtz Zentrum, München, Germany.
Linköping University, Department of Medical and Health Sciences, Health Technology Assessment and Health Economics. Linköping University, Faculty of Health Sciences.
Dept of Clinical Genetics, Lund University.
2010 (English)In: Quality Issues in Clinical Genetic Services / [ed] Ulf Kristoffersson, Jörg Schmidtke, Jean-Jacques Cassiman, Springer , 2010, 173-182 p.Chapter in book (Other academic)
Abstract [en]

Initially genetic disorders were all considered as rare diseases. At present, in the mid of 2009, the OMIM catalogue contains information on more than 12 000 entries of which about 2500 are available for clinical testing based on the identification of the responsible gene defect. However, altogether it has been estimated that about 8 percent of a population in the economically developed countries will during their lifetime suffer from a disease mainly as the result of their genetic constitution. Adding to that, it is estimated that all diseases have a genetic component, which will determine who will be at a higher than average risk for a certain disorder. Further it is postulated that in the near future, this genetic profiling could become useful in selecting an appropriate therapy adapted to the genetic constitution of the person. Thus, genetic disorders are not rare. Measuring quality of health care related processes became an issue in the 1990s, mainly in laboratory medicine, but also for hospitals and other health care systems. In many countries national authorities started to implement recommendations, guidelines or legal procedures regulating quality of health care delivery. In laboratory medicine, in parallel, the use of accreditation as a method assuring high quality standards in testing came in use. With the increasing possibilities of performing molecular genetic testing, genetic laboratories needed to become involved in this process. As many genetic disorders are rare, most laboratories worldwide offered analysis for a specific set of disorders, and, therefore, very early on a transborder flow of samples occurred. While international quality criteria (ISO) have been in existence for a number of years, the regulation of quality issues still may differ between countries. Based on their personal experience in the varying fields of quality research and clinical implementation of quality criteria in genetic services the authors of this book share their experience and give examples of the implementation of quality issues in national quality systems worldwide. This book, which is the result of the effort of many persons, is destined to aid laboratory managers and counsellors, health care managers and other stakeholders in national or international health care service to improve the services to the benefit of patients with suspected genetic disorders.

Place, publisher, year, edition, pages
Springer , 2010. 173-182 p.
Keyword [en]
Allocation of health resources, Medical ethics, Health economics, Genetic testing
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-58516DOI: 10.1007/978-90-481-3919-4ISBN: 978-90-481-3918-7ISBN: 9-04-813-91-8XOAI: diva2:343174
Available from: 2010-08-12 Created: 2010-08-12 Last updated: 2013-04-23Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textlinkfind book at a swedish library/hitta boken i ett svenskt bibliotek

Search in DiVA

By author/editor
Carlsson, Per
By organisation
Health Technology Assessment and Health EconomicsFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 17 hits
ReferencesLink to record
Permanent link

Direct link